Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Ozanimod · 15 trials · 10 indications
Defined as a reduction from Baseline in the complete Mayo score of ≥ 3 points and ≥ 30%, and a reduction from Baseline in the rectal bleeding subscore of ≥ 1 point or an absolute rectal bleeding subscore of ≤ 1 point
The CDAI is a composite score that is used to measure the clinical activity of Crohn's disease (CD). The CDAI uses a questionnaire with 8 disease activity variables: number of soft/liquid stools, severity of abdominal pain, general well-being, presence of complications, need for antidiarrheal drugs, presence of an abdominal mass, hematocrit, and deviation in body weight. The sub scores of number of soft/liquid stool, severity of abdominal pain (0 \[none\] to 3 \[Severe\]), general well-being (0 \[well\] to 4 \[terrible\] were summed over the 7 days prior to each visit. Additionally, the remaining predictors were also noted and weighted to create the total CDAI score which ranged from 0-600 with a higher score indicating a worse outcome.
The relapse rate was based on confirmed relapses. A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of relapses divided by the total number of days in the study \* 365.25. ARR was adjusted for region (Eastern Europe vs rest of world), Baseline age, and Baseline number of gadolinium-enhancing lesions; the natural log transformation of time on study was included as an offset term.
A relapse was defined as new or worsening neurological symptoms attributable to MS and preceded by a relatively stable or improving neurological state for at least 30 days. Symptoms must have persisted for \> 24 hours and not be attributable to confounding clinical factors. Relapses were confirmed when accompanied by objective neurological worsening based on examination by the blinded evaluator, consistent with an increase of ≥ 0.5 on the overall EDSS score relative to the most recent EDSS assessment, or 2 points on one of the functional system scale scores, or 1 point on ≥ two functional system scale scores. Relapse rate was calculated as the total number of confirmed relapses divided by the total number of days in the study \* 365.25. ARR was based on a Poisson regression model, adjusted for region (Eastern Europe vs Rest of the World), age, and the Baseline number of gadolinium-enhancing lesions, and included the natural log transformation of time on study as an offset term.
Clinical Remission was defined as: Mayo score of \<2 points and with no individual subscore of \> 1 point. The Mayo Score is a composite index of four items (stool frequency, rectal bleeding, rectosigmoidoscopy findings, and physician's global assessment) with each item graded semi-quantitatively on a scale of 0 to 3 where 0 represents normal and higher score represents more severe disease status. The total Mayo Score is the sum of the four item scores, with a result ranging from 0 to 12 points. Higher scores represent more severe disease. * Stool Frequency Subscore (SFS) * Rectal bleeding Subscore (RBS) * Endoscopy Subscore * Physician's Global Assessment (PGA) Clinical Remission was based on the 4-component Mayo definition.
The cumulative number of total GdE lesions on MRI from Week 12 to Week 24. MRI scans were assessed and scored by an independent MRI analysis center with no knowledge of treatment assignment or outcomes.
Measured using the Flavor Profile method of descriptive sensory analysis
Measured using the Flavor Profile method of descriptive sensory analysis
Measured using the Flavor Profile method of descriptive sensory analysis
Measured using the Flavor Profile method of descriptive sensory analysis
AUC from time zero to the last measured time point
Area under the plasma concentration-time curve from time zero extrapolated to infinity
Maximum observed plasma concentration
Minimum observed plasma concentration
Area under the plasma concentration-time curve from time zero to dosing interval
Maximum observed plasma concentration
Area under the concentration-time curve from time 0 to infinity
Area under the concentration-time curve from time 0 to last quantifiable concentration
Maximum observed plasma concentration within the dosing interval
Time to Cmax
Area under the concentration-time curve from time 0 to infinity
Apparent oral clearance
Apparent volume of distribution during terminal phase after oral administration
Terminal elimination half-life
Area under the concentration-time curve from time 0 to time of last quantifiable concentration
Area under the concentration-time curve from time 0 to 14 days postdose
Maximum observed plasma concentration
Area under the concentration-time curve from time 0 to infinity
Area under the concentration-time curve from time 0 to time of last quantifiable concentration
Day 30 maximum time-matched change from Day 29 in systolic blood pressure (SBP)
Maximum observed plasma concentration
Area under the concentration-time curve from time 0 to infinity
Area under the concentration-time curve from time 0 to 14 days post dose
| Arm | Type | Description |
|---|---|---|
| Ozanimod | EXPERIMENTAL | - |
| Fingolimod | ACTIVE_COMPARATOR | - |
| 0.46 mg ozanimod oral capsule once daily (QD) | EXPERIMENTAL | It will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with 0.23 mg ozanimod, followed by 3 days of treatment with 0.46 mg ozanimod, followed by 0.46 mg ozanimod. |
| 0.92 mg ozanimod oral capsule QD | EXPERIMENTAL | It will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with 0.23 mg ozanimod, followed by 3 days of treatment with 0.46 mg ozanimod, followed by 0.92 mg ozanimod. |
| Placebo oral capsule QD | PLACEBO_COMPARATOR | It will be a 7-day dose escalation regimen in the IP consisting of 4 days of treatment with a placebo capsule, followed by 3 days of treatment with two placebo capsules, followed by two placebo capsules. |
| Administration of oral Ozanimod | EXPERIMENTAL | - |
| Administration of Placebo | PLACEBO_COMPARATOR | - |
| Interferon beta-1a | ACTIVE_COMPARATOR | Participants received 30 µg interferon beta-1a by intramuscular (IM) injection weekly and matching placebo capsules (identical in physical appearance to ozanimod) orally once a day until the last participant had been treated for 12 months. |
| Ozanimod 0.5 mg | EXPERIMENTAL | Participants received ozanimod 0.5 mg capsules orally once a day and an intramuscular placebo injection (identical in appearance to Interferon) weekly until the last participant had been treated for 12 months. |
| Ozanimod 1 mg | EXPERIMENTAL | Participants received ozanimod 1 mg capsules orally once a day and an intramuscular placebo injection (identical in appearance to Interferon) weekly until the last participant had been treated for 12 months. |
| Ozanimod1 mg | EXPERIMENTAL | Ozanimod 1 mg oral capsules daily and a weekly intramuscular placebo injection (identical in appearance to Interferon) for 24 months. |
| Interferon β-1a | ACTIVE_COMPARATOR | interferon beta-1a (IFN β-1a) 30 µg intramuscular (IM) injection weekly and matching placebo capsules (identical in physical appearance to ozanimod) orally daily for 24 months. |
| Ozanimod High Dose | EXPERIMENTAL | - |
| Ozanimod Low Dose | EXPERIMENTAL | - |
| Placebo | PLACEBO_COMPARATOR | Identically matching placebo capsules daily for 32 weeks followed by an optional open label treatment period. |
| Ozanimod in subjects with mild hepatic impairment | EXPERIMENTAL | Participants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in subjects with mild hepatic impairment |
| Ozanimod in subjects with moderate hepatic impairment | EXPERIMENTAL | Participants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in subjects with moderate hepatic impairment |
| Ozanimod in healthy subjects | EXPERIMENTAL | Participants will receive ozanimod 0.23 mg once daily (QD) on Days 1 to 4, 0.46 mg QD on Days 5 to 7, and 0.92 mg QD on Day 8 in healthy subjects |
| Group A (reference): Current ozanimod capsule formulation | EXPERIMENTAL | Single oral dose of ozanimod 0.92 mg |
| Group B (test): Ozanimod granule formulation | EXPERIMENTAL | Single oral dose of ozanimod 0.92 mg using Sprinkle capsule. Ozanimod Sprinkle Capsule will be opened, and the entire contents sprinkled onto a teaspoon (5 mL) of applesauce. |
| Ozanimod 0.46mg | EXPERIMENTAL | Ozanimod single doses of 0.46 mg (1 x 0.46 mg capsule) will be administered on Day 1. Ozanimod will be administered following an overnight fast of at least 10 hours before dosing and with approximately 240 mL of nonrefrigerated, noncarbonated water (additional water may be allowed if required for the subject to complete dosing). Subjects will remain fasted for 4 hours after ozanimod dosing. |
| Ozanimod 0.92mg | EXPERIMENTAL | Ozanimod single doses of 0.92 mg (1 x 0.92-mg capsule) will be administered on Day 1. Ozanimod will be administered following an overnight fast of at least 10 hours before dosing and with approximately 240 mL of nonrefrigerated, noncarbonated water (additional water may be allowed if required for the subject to complete dosing). Subjects will remain fasted for 4 hours after ozanimod dosing. |
| Treatment Group A - Ozanimod | EXPERIMENTAL | Subjects will receive a single oral dose of ozanimod 0.46 mg |
| Treatment Group B - Ozanimod plus Cyclosporine | EXPERIMENTAL | Subjects will receive a single oral dose of ozanimod 0.46 mg plus a single oral dose of cyclosporine 600 mg |
| ozanimod plus Pseudophedrine | EXPERIMENTAL | ozanimod once daily (QD) for 30 days. On Day 30, a single dose of pseudoephedrine 60mg will be co-administered with ozanimod. |
| ozanimod placebo plus Pseudoephedrine | PLACEBO_COMPARATOR | ozanimod placebo once daily (QD) for 30 days. On Day 30, a single dose of pseudoephedrine 60mg will be co-administered with ozanimod placebo. |
| Treatment Group A - Ozanimod 0.46mg | EXPERIMENTAL | A single dose of ozanimod 0.46 mg on Day 1 |
| Treatment Group B - Ozanimod plus Gemfibrozil | EXPERIMENTAL | Gemfibrozil 600 mg twice daily (BID) on Days 1 through 17. On Day 4, a single dose of ozanimod 0.46 mg will be coadministered with the morning dose of gemfibrozil. |
| Treatment Group C - Ozanimod 0.92mg | EXPERIMENTAL | A single dose of ozanimod 0.92 mg on Day 1. |
| Treatment Group D - Ozanimod plus Itraconazole | EXPERIMENTAL | Itraconazole 200 mg once daily (QD) on Days 1 through 17. On Day 4, a single dose of ozanimod 0.92 mg will be co-administered with itraconazole. |
| Treatment Group E - Ozanimod plus Rifampin | EXPERIMENTAL | Rifampin 600 mg QD on Days 1 through 21. On Day 8, a single dose of ozanimod 0.92 mg will be coadministered with rifampin |
| Name | Type | Description |
|---|---|---|
| Ozanimod | DRUG | Specified dose on specified days |
| Fingolimod | DRUG | Specified dose on specified days |
| Placebo | OTHER | Specified dose on specified days |
| Interferon beta-1a | DRUG | Administered by intramuscular injection once a week |
| Placebo to ozanimod | DRUG | Matching placebo capsules administered orally once a day |
| Placebo to interferon beta-1a | DRUG | Placebo intramuscular injection once a week |
| Ozanimod placebo | DRUG | Oral capsule, daily for 24 months |
| Interferon beta-1a placebo | DRUG | Intramuscular injection, weekly for 24 months |
| Cyclosporine | DRUG | Cyclosporine |
| Pseudoephedrine | DRUG | Pseudoephedrine |
| Gemfibrozil | DRUG | Gemfibrozil |
| Itraconazole | DRUG | Itraconazole |
| Rifampin | DRUG | Rifampin |
Inclusion Criteria: * Has a diagnosis of multiple sclerosis (MS) as defined by the 2017 revision of the McDonald Criteria with a relapsing remitting course of disease. * Meets at least 1 of the following criteria for disease activity: i) At least 1 MS relapse/attack in the previous year prior to...
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|---|---|---|---|---|
| Sanofi SA Sponsored ADR | SNY | 6 | PHASE3 | Duvakitug |
| Eli Lilly and Company | LLY | 8 | PHASE3 | Mirikizumab |
| AbbVie, Inc. | ABBV | 14 | PHASE3 | Risankizumab, Risankizumab On-Body Injector |
| Johnson & Johnson | JNJ | 13 | PHASE3 | Ustekinumab |
| Takeda Pharmaceutical Co. Ltd. Sponsored ADR | TAK | 17 | PHASE3 | Vedolizumab |
| Merck & Co., Inc. | MRK | 2 | PHASE3 | Tulisokibart |
| AstraZeneca PLC | AZN | 2 | PHASE2 | AZD7798 |
| Disc Medicine, Inc. | IRON | 1 | PHASE2 | DISC-0974 |
| Spyre Therapeutics, Inc | SYRE | 1 | PHASE2 | SPY001, SPY002, SPY003 |
| Abivax SA Sponsored ADR | ABVX | 1 | PHASE2 | Obefazimod |
| Palisade Bio, Inc. | PALI | 1 | PHASE1 | PALI-2108 |
| Novartis AG Sponsored ADR | NVS | 1 | - | Undisclosed |
| Amgen Inc. | AMGN | 1 | N/A | Undisclosed |
| TScan Therapeutics, Inc. | TCRX | 1 | - | Undisclosed |